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<br />A� ®® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE/2015 Y ,
<br />TYPE OF INSURANCE
<br />0412412015
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />CONTACT
<br />NAME:
<br />MARSH USA, INC.
<br />PHONE FAX
<br />TWO ALLIANCE CENTER
<br />HNIQ' No, t A/C, Na:
<br />E -MAIL
<br />A°°RESS:
<br />3566 LENOX ROAD, SUITE 2400
<br />ATLANTA, GA 30326
<br />MED EXP (Any one person)
<br />S 25,000
<br />PERSONAL B ADV INJURY
<br />INSURER 5 AFFORDING COVERAGE
<br />NAIL p
<br />INSURER A: XL Insurance America, Inc
<br />24554
<br />454687- Recal- GAWU -14 -15
<br />INSURED
<br />INSURERS: Travelers Property Casualty Company Of America
<br />125674
<br />RECALL CORPORATION, INCIRECALL SECURE
<br />INSURER c ;Travelers Indemnity Co Of America
<br />125666
<br />DESTRUCTION SERVICES INC (RECALL DOCUMENT
<br />INSURER D: NIA
<br />NIA
<br />MANAGEMENT SERVICES INCIRECALL DATA PROTECTION SERVICES INCIRECALL -
<br />TOTAL INFORMATION INC
<br />0613012614
<br />0613012015
<br />180 TECHNOLOGY PARKWAY
<br />INSURER E
<br />BODILY INJURY (Per person)
<br />INSURER F:
<br />BODILY INJURY (Per accident)
<br />NORCROSS, GA 30092
<br />COVERAGES CERTIFICATE NUMBER: ATL- 003225220 -08 REVISION NUMBER: 15
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />HISS
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUER
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIYYYY
<br />POLICY ESP
<br />MMIDDIVYYY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE a OCCUR
<br />of Marsh USA Inc.
<br />US00066304LI14A
<br />06130/2014
<br />06/3012015
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />PREMISES ETORENTEO
<br />PREMISES RENT occurrence)
<br />$ 1,006,000
<br />MED EXP (Any one person)
<br />S 25,000
<br />PERSONAL B ADV INJURY
<br />$ 2,000,000
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />GEN'L AGGREGATE
<br />X POLICY
<br />LIMIT APPLIES PER
<br />PRO- LOG
<br />PRODUCTS - COMPIOP AGG
<br />$ 4,000,000
<br />$
<br />B
<br />AUTOMOBILE LIABILITY
<br />X ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS _ AUTOS
<br />X X NON -OWNED
<br />HIREDAL AUTOS
<br />TC2JCAP9523B734 -14
<br />0613012614
<br />0613012015
<br />COMBINED SINGLE LIMIT
<br />Ea amident
<br />5,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />BODILY INJURY (Per accident)
<br />S
<br />PROPERTYDAMAGE
<br />Per accident
<br />$
<br />__-
<br />UMBRELLA LIAB
<br />EXCESS LIAB
<br />OCCUR
<br />CLAIMS -MADE
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />OEO RETENTION$
<br />$
<br />B
<br />G
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNERIEXECUTIVE YIN
<br />OFFICERIMEMBER EXCLUDED?
<br />If pe. dtory in and NHH
<br />DESCRIPTION under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />TC2JUB9523B746 -14 (AOS)
<br />TRKU69523B759 -14 (AZ, MA)
<br />0613012014
<br />6613012014
<br />06/3012015
<br />0613012015
<br />X We sTATU- OTH-
<br />EL EACH ACCIDENT
<br />1,000,000
<br />$
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,600
<br />E. L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />THE CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA, SANTA ANA, CALIFORNIA 92701; ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE INCLUDED AS ADDITIONAL
<br />INSURED (EXCEPT WORKER'S COMPENSATION) WHERE REQUIRED BY WRITTEN CONTRACT BUT ONLY AS RESPECTS OPERATIONS OF THE NAMED INSURED, THE GENERAL LIABILITY
<br />COVERAGE IS PRIMARY AND NOT CONTRIBUTORY WITH ANY OTHER INSURANCE AVAILABLE TO THE CERTIFICATE HOLDER.
<br />CERTIFICATE HOLDER CANCELLATION
<br />THE CITY OF SANTA ANA
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />ATTM LYNDA KELLY
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />20 CIVIC CENTER PLAZA
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />SANTA ANA, CA 92701
<br />AUTHORIZED REPRESENTATIVE
<br />of Marsh USA Inc.
<br />Manashi Mukherjee
<br />©1988 -2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD A'D/NUD�a�J" b�,p /J
<br />
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